Transorbital penetrating head injury by a toilet brush handle

Background Transorbital penetrating brain injuries are rare lesions without defined therapy standards. Clinical presentation and intervention A male patient presented at our institution with a toilet brush handle in the right cerebral hemisphere. CT imaging identified the object entering the right o...

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Bibliographic Details
Published in:Acta neurochirurgica 2009-06, Vol.151 (6), p.685-687
Main Authors: Farhadi, M. R., Becker, M., Stippich, C., Unterberg, A. W., Kiening, K. L.
Format: Article
Language:English
Subjects:
Accidental Falls
Brain - diagnostic imaging
Brain - pathology
Brain - surgery
Brain Abscess - diagnostic imaging
Brain Abscess - etiology
Brain Abscess - pathology
Brain Injuries - diagnostic imaging
Brain Injuries - etiology
Brain Injuries - pathology
Brief Report of a Special Case
Cerebral Hemorrhage, Traumatic - diagnostic imaging
Cerebral Hemorrhage, Traumatic - prevention & control
Cerebral Hemorrhage, Traumatic - surgery
Craniotomy
Decompression, Surgical
Disability Evaluation
Epilepsy - complications
Foreign Bodies - diagnostic imaging
Foreign Bodies - pathology
Foreign Bodies - surgery
Head Injuries, Penetrating - diagnostic imaging
Head Injuries, Penetrating - etiology
Head Injuries, Penetrating - pathology
Humans
Interventional Radiology
Intraoperative Complications - diagnostic imaging
Intraoperative Complications - etiology
Intraoperative Complications - prevention & control
Male
Medicine
Medicine & Public Health
Middle Aged
Minimally Invasive Surgery
Monitoring, Intraoperative - methods
Neurology
Neuroradiology
Neurosurgery
Orbital Fractures - diagnostic imaging
Orbital Fractures - etiology
Orbital Fractures - pathology
Surgical Orthopedics
Tomography, X-Ray Computed - methods
Treatment Outcome
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Summary:Background Transorbital penetrating brain injuries are rare lesions without defined therapy standards. Clinical presentation and intervention A male patient presented at our institution with a toilet brush handle in the right cerebral hemisphere. CT imaging identified the object entering the right orbit and having crossed the right hemisphere in the ventricular plane. After performing a medium-sized craniotomy, the object was removed step-by-step under monitoring with an intraoperative CT scan to ensure no involving major hemorrhage. Conclusion Transorbital penetrating brain injuries are treated best by utilizing all up-to-date technical developments such as intraoperative CT-scanning to increase the safety in the management of such exceptional lesions with increased risk of immediate life-threatening intracranial bleeding.
ISSN:0001-6268
0942-0940
DOI:10.1007/s00701-009-0221-9